Method and apparatus for monitoring the surface contact of a neutral electrode of a HF-surgical apparatus

• US 4,754,757 A
• Filed: 11/10/1986
• Issued: 07/05/1988
• Est. Priority Date: 12/16/1985
• Status: Expired due to Fees

• Current Assignee: Peter Feucht
• Original Assignee: Peter Feucht
• Inventors: Feucht, Peter
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US06/929,561
• Time in Patent Office: 603 Days
• Field of Search: 128/303.13, 128/303.14, 128/303.17, 128/908
• US Class Current: 606/35
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: Y10S 128/908 Patient protection from electric shock

Abstract

The HF-current generator of an electrosurgical apparatus has one terminal connected to an active electrode and an additional terminal connected to a neutral electrode. The neutral electrode consists of at least two partial electrodes which are individually connected via connecting leads to respective current meters for measuing the partial currents in the respective connecting leads. The output side of the current meters are connected to a logic element that is provided for combining the partial currents and which provides a logic signal that is a function of their combination. A ratio generator is preferably provided as the logic element to develop a logic signal that is a function of the ratio of the partial currents. A comparator for comparing the logic signal with pre-set limit value is associated with the logic element. The output signal of the comparator is used as an alarm signal to actuate an alarm or a protective means for a patient in contact with the neutral electrode.

Claims

1. A method for monitoring the neutral electrode of a HF-surgical apparatus for sufficiency of surface area contact with a body, in which the neutral electrode consists of an odd number of at least three partial electrodes and in which a comparison dependent alarm signal is generated in the event of insufficient surface area contact with said body, comprising the following steps:

applying HF-currents to three of said partial electrodes through said body;

sensing the HF-currents accepted by said three partial electrodes and forming electrical partial current signals corresponding to respective ones of said sensed accepted HF-currents;

combining three different pairs of said electrical partial current signals for developing three combined electrical signals;

comparing the level of each of said three combined electrical signals with a pre-set limit value, thereby obtaining three comparison signals;

developing a logic OR signal from said three comparison signals; and

generating an alarm signal dependent upon said logic OR signal.

2. The method of claim 1, wherein said combining and comparing steps cause said logic OR signal to be representative of the ratio of said electrical partial current signals.

3. The method of claim 2, wherein said combining step comprises developing logarithms of said electrical partial current signals and then subtracting one logarithm from another.

4. The method of claim 2, wherein said generating step generates said alarm signal when the level of at least one of said three combined electrical signals exceeds said pre-set limit value.

5. The method of claim 1, wherein said combining step comprises subtracting said electrical partial current signals one from each other to develop three logic signals as said three combined electrical signals.

6. The method of claim 1, wherein said sensing and forming step develops a measurement of the effective value of each of said electrical partial current signals.

7. The method of claim 1, including the further step of monitoring at least one of said HF-currents for exceeding a level limit value and enabling the alarm signal only after the level limit value has been exceeded.

8. The method of claim 1 including the further step of time delaying said alarm signal before it is applied to actuate an alarm.

9. Circuit arrangement for monitoring the neutral electrode of a HF-surgical apparatus for sufficiency of surface contact with a body when said neutral electrode comprises an odd number of at least three partial electrodes adapted to receive said body between said partial electrodes and said active electrode, comprising:

a HF-current generator having a first and a second terminal, said first terminal for coupling said generator to said active electrode and said second terminal for coupling said generator to said neutral electrode;

current meter means for connection between each of said three partial electrodes and said HF current generator for measuring at least three partial currents developed in said at least three partial electrodes;

combining means coupled to the output side of said current meter means for combining the measured partial currents and generating at least three combined electrical signals that are a function of the combination;

a plurality of comparator means coupled to said combining means for receiving respective ones of said combined electrical signals;

a comparison element coupled to each of said comparator means for comparing respective ones of said combined electrical signals with a pre-set limit value for developing an output signal from each of said comparator means; and

logic means having an input coupled to each of said comparator means for combining said output signals of said comparator means and providing at an output thereof an alarm signal.

10. A circuit arrangement according to claim 9, wherein said current meter means comprises a plurality of current transformers, one current transformer adapted to be connected to each of said partial electrodes.

11. A circuit arrangement according to claim 9, wherein an effective value generator is coupled to each current meter means for developing an effective value for the partial current developed in each partial electrode.

12. A circuit arrangement according to claim 9, wherein said combining means comprises one or more ratio generators which develop a signal level representative of the ratio of the partial currents of said partial electrodes.

13. A circuit arrangement according to claim 12, wherein each ratio generator comprises a logarithm generating element for each of the partial currents and a difference element for subtracting the logrithms of the respective partial currents.

14. A circuit arrangement according to claim 13, wherein said difference element comprises an inverter element responsive to one of the partial currents and a summing element responsive to an inverted partial current from the inverter and one non-inverted partial current.

15. A circuit arrangement according to claim 9, wherein said combining means comprises one or more difference elements, each of which develop the difference of two of said partial currents.

16. A circuit arrangement according to claim 9, further including a level comparator, one of the current meter means being connected to said level comparator for applying the partial current measured by said one current meter means as an input signal thereto, said level comparator being connected to also receive a threshold level limit value so that when the input signal exceeds the level limit value, the level comparator develops an enable signal for enabling the alarm signal.

17. A circuit arrangement according to claim 16, further including an AND element coupled to said level comparator and said logic means and responsive to said enable signal and said alarm signal, and an alarm system connected to the output of said AND element.

18. A circuit arrangement according to claim 17, wherein said alarm system includes a switch coupled to the output of said AND element for cutting-off or reducing the HF-current delivered to said active electrode and/or activating an audible or a visual alarm device.

19. A circit arrangement according to claim 18, further including a timing element coupled between said AND element and said switch for applying said alarm signal to said alarm system, which timing element delays application of said alarm signal to said alarm system.

20. A circuit arrangement for monitoring the neutral electrode of a HF-surgical apparatus for sufficiency of surface contact with a body, comprising:

an active electrode;

a neutral electrode comprising three partial electrodes and adapted to receive said body between said partial electrodes and said active electrode;

a HF-current generator having a first and a second terminal, said first terminal coupling said generator to said active electrode and said second terminal coupling said generator to said neutral electrode;

a current meter connected with each partial electrode and said second terminal for measuring partial currents developed in said partial electrodes;

a combining element coupled to the output side of each current meter for combining the measured partial currents and generating at an output a combined electrical signal that is a function of the combination;

a comparator coupled to the output of each of said combining elements for receiving a respective one of said combined electrical signals;

a comparison element coupled with each of said comparators for comparing a respective one of said combined electrical signals with a pre-set limit value for developing an output signal from each of said comparators; and

logic means coupled with each of said comparators and responsive to said output signals therefrom for developing an alarm signal.

21. A circuit arrangement according to claim 20 wherein said three partial electrodes are of equal size, each being connected via a current meter of identical construction to a further terminal which is in electrical contact with said second terminal of the HF-current generator.

22. A circuit arrangement according to claim 20, wherein a resistor is connected between each of said partial electrodes.

23. A circuit arrangement according to claim 20, wherein said three partial electrodes each comprise a mesh of electrically conducting material and said meshes are laid in common upon a rubber film so that strips of said rubber film are formed between juxtaposed edges of said meshes;

which strips serve as a resistance between said two partial electrodes.